Organization Active NPI

Calmify Wellness Center

  • Clinical Social Worker
  • Henderson, NV
National Provider Identifier
1821713538
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CALMIFY WELLNESS CENTER
Practice address
1550 W Horizon Ridge Pkwy Ste R676
Henderson, NV 89012-3600
Phone
(725) 267-7581
NPI assigned
Oct 5, 2022
Last updated
Oct 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Germain Hakan WilliamsonNPI 1821332529
Title
Owner
Phone
(520) 658-9459

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary
Marriage & Family Therapist 106H00000X NU
Behavior Technician 106S00000X NU

Addresses

Primary practice location

1550 W Horizon Ridge Pkwy Ste R676
Henderson, NV 89012-3600

Mailing address

1550 W Horizon Ridge Pkwy Ste R676
Henderson, NV 89012-3600
Phone (725) 267-7581

Other identifiers 1

IdentifierTypeStateIssuer
1821332529MedicaidNV

National Provider Directory

National Provider Directory

Locations

1550 W Horizon Ridge Pkwy
Ste R676
Henderson, NV 89012
Phone (725) 267-7581

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1821713538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 W HORIZON RIDGE PKWY STE R676",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890123600",
            "telephone_number": "725-267-7581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 W HORIZON RIDGE PKWY STE R676",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890123600",
            "telephone_number": "725-267-7581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALMIFY WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "GERMAIN",
        "authorized_official_middle_name": "HAKAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-658-9459"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821332529",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.